Individual
ANIRUDH SHRAY GAJJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 HEALTHPLEX WAY, APEX, NC 27502-8403
(919) 350-0550
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-00711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689239386
—
NC
Enumeration date
05/08/2019
Last updated
07/31/2025
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